Effect of Transabdominal Preperitoneal Prosthesis Repair and Traditional Open Hernia Repair on Postoperative Stress and Recent Quality of Life in Patients with Indirect Inguinal Hernia
Objective To analyze the effects of transabdominal preperitoneal prosthesis(TAPP)repair and traditional open hernia repair on postoperative stress and recent quality of life in patients with indirect inguinal hemia.Methods A total of 106 patients with indirect inguinal hernia admitted to the Second People's Hospital of Linchuan District,Fuzhou City from June 2020 to June 2023 were selected as the research objects.They were divided into TAPP group(53 patients)and open group(53 patients)by random number table method.The TAPP group was treated with TAPP,and the open group was treated with traditional open hernia repair.The perioperative indicators[operation time,intraoperative blood loss,postoperative pain Visual Analogue Scale(VAS),postoperative ambulation time],stress indicators[plasma cortisol(Cor),epinephrine(AD),C-reactive protein(CRP)],surgical complications,quality of life[World Health Organization Quality of Life-BREF(WHOQOL-BREF)]were compared between the two groups.Results The operation time of the TAPP group was longer than that of the open group,but the intraoperative blood loss was less than that of the open group,the postoperative VAS score was lower than that of the open group,and the postoperative ambulation time was shorter than that of the open group(P＜0.05).The Cor,AD and CRP indexes of the two groups at 24 h after operation were higher than those before operation,but the Cor,AD and CRP indexes of the TAPP group were lower than those of the open group(P＜0.05).The incidence of surgical complications in the TAPP group was lower than that in the open group(P＜0.05).The WHOQOL-BREF(physiological,psychological,environmental and social relations)scores of the two groups at 1 month after operation were higher than those before operation,and the WHOQOL-BREF(physiological,psychological,environmental and social relations)scores of the TAPP group were higher than those of the open group(P＜0.05).Conclusion Both TAPP and traditional open hernia repair are effective treatment methods for indirect inguinal hernia.The former has less intraoperative bleeding,less postoperative pain and faster recovery,which can effectively relieve postoperative stress response,reduce the risk of surgical complications and improve the recent quality of life of patients.
Transabdominal preperitoneal prosthesis repairOpen hernia repair surgeryIndirect inguinal herniaStress responseQuality of life
万方数据
维普
